Aesthetic Plastic Surgery最新文献

{"title":"Comparison of Non-liposuction and Liposuction Techniques in Single-port Endoscopic Subcutaneous Mastectomy for Gynecomastia: A Retrospective Analysis.","authors":"Yuming Shao, Jie Zhang, Huanyu Lu, Shoukun Xue, Chao Fang, Yuyang Li, Kunbing Zhu","doi":"10.1007/s00266-025-05050-0","DOIUrl":"https://doi.org/10.1007/s00266-025-05050-0","url":null,"abstract":"<p><strong>Background: </strong>Gynecomastia (GM) is a common benign proliferation of male breast tissue that can significantly impact patients' physical and mental health. Endoscopic subcutaneous mastectomy (ESCM) has emerged as a promising minimally invasive approach for treating GM. However, the relative efficacy of different techniques for creating operative space during ESCM remains unclear. This study aims to compare the clinical outcomes of non-liposuction and liposuction techniques in single-port ESCM for GM treatment.</p><p><strong>Methods: </strong>This retrospective study included 41 GM patients who underwent single-port ESCM via bilateral axillary approach at Shandong Maternal and Child Health Hospital between September 2022 and September 2023. Patients were divided into non-liposuction (n=20) and liposuction (n=21) groups. Operative time, blood loss, postoperative drainage volume, complication rates, and patient satisfaction were compared between the two groups.</p><p><strong>Results: </strong>All procedures were successfully completed without conversion to open surgery. The non-liposuction group had significantly shorter mean operative time compared to the liposuction group (124.30 vs 168.81 minutes, P<0.001). Postoperative day 1 drainage volume was also significantly lower in the non-liposuction group (43.40 vs 107.05 mL, P<0.001). No significant differences were observed in intraoperative blood loss, complication rates, or patient satisfaction between the two groups. The overall complication rate was 7.3% (3/41), with two cases in the liposuction group and one in the non-liposuction group. No recurrences were reported during the 12-month follow-up period.</p><p><strong>Conclusion: </strong>Single-port ESCM is a safe and effective method for treating GM. Compared to the liposuction technique, the non-liposuction approach demonstrates significant advantages in reducing operative time and postoperative drainage volume while maintaining comparable safety and patient satisfaction. These findings provide new insights for optimizing GM treatment strategies and potentially improving patient outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Columellar Auto-Strut Technique: A Refined Approach to Nasal Tip Stabilization in Septorhinoplasty.","authors":"Mehmet Çelik, Said Sönmez, Deniz Kanlıada","doi":"10.1007/s00266-025-05067-5","DOIUrl":"https://doi.org/10.1007/s00266-025-05067-5","url":null,"abstract":"<p><strong>Background: </strong>The Columellar Auto-Strut Technique (CAST) is a refined modification of the Tongue-in-Groove (TIG) method, designed to provide stable nasal tip support while maintaining aesthetic flexibility. This study evaluates the clinical outcomes of CAST in septorhinoplasty (SRP).</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 78 patients who underwent SRP using CAST. Nasal tip projection (Goode ratio), nasolabial angle (NLA), and subjective tip stiffness were assessed preoperatively and postoperatively.</p><p><strong>Results: </strong>The mean NLA increased from 84.3° ± 5.2° to 99.8° ± 4.8° (p < 0.001). The Goode ratio improved from 0.58 ± 0.06 to 0.63 ± 0.01 p = 0.003). The mean VAS score for nasal tip stiffness was 7.1 ± 1.1. No significant cases of nasal tip deviation or nostril asymmetry were reported.</p><p><strong>Conclusions: </strong>The CAST technique offers stable nasal tip support with predictable outcomes, preserving both function and aesthetics. Further studies with larger sample sizes and long-term follow-up are needed to validate its effectiveness in routine SRP.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Ishida-Ferreira Type B Technique Combined with Polygon Tipplasty and Sliding Alar Cartilage Flaps: A Versatile Solution for Primary Caucasian Rhinoplasty.","authors":"Metin Kerem, Burak Ergün Tatar, Nilüfer Bahadırlı","doi":"10.1007/s00266-025-04996-5","DOIUrl":"https://doi.org/10.1007/s00266-025-04996-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Dorsal cartilage preservation techniques have gained significant popularity among rhinoplasty surgeons recently, as they present natural dorsal aesthetic lines, and avoid dorsal reconstruction procedures for the cartilage dorsum. With correct patient selection criteria, cartilage preservation techniques give good results, while on the wrong patients, this may not always be possible. Also, blending these dorsal preservation techniques with different approaches in other subunits of the nose (tip complex and alar cartilages) may offer a variety of options in today's rhinoplasty world. This study presents a modified version of the Ishida-Ferreira cartilage push-down technique combined with polygon tipplasty and sliding alar cartilage flaps.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective analysis of 110 patients who underwent primary rhinoplasty (June 2021-August 2023) was conducted. The inclusion criteria were primary rhinoplasty cases with no history of any surgical/non-surgical nose treatments and have a nasal index (NI) of 75 or less (leptorrhine or mesorrhine). Cases requiring augmentation, S-shaped humps, wide dorsum, (NI greater than 75), and severe axis/septum deviations have been excluded from the study. The surgical steps included Cottle low septal strip resection, triangular osteotomies from the dorsal aspect of the nasal bones, push-down, lateral osteotomies, polygon tipplasty, and sliding alar cartilage flaps. Postoperative satisfaction was evaluated using a 5-point Likert scale. Statistical analysis was performed to examine correlations between age, operative time, and satisfaction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mean age of the patients was 27.7 years, and 76.4% were female. The mean operative time was 107 minutes (75-160). Patient satisfaction scores were high, with a mean of 4.51 points: 63.6% scored \"very good\" and 26.4% scored \"good.\" Early complications included prolonged bleeding in 1.8% of the cases. Late complications occurred in 3.6% of patients (dorsal widening, bony cap malposition, and nostril asymmetry), with four patients (3.6%) requiring revision surgery. No significant correlation was found between satisfaction and age or operative time (P &gt; 0.05).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Discussion: &lt;/strong&gt;The modified technique demonstrated several advantages thanks to the modified Ishida-Ferreira technique, where the dorsal cartilage integrity is preserved. Unlike the original high strip technique, the low strip modification lets us to remove the septal base cartilage where deviations are very common. Also, the stronger septal base cartilage provides a better material to be used as a columellar strut. Combining modified cartilage and bony cap preservation, polygon tipplasty, and sliding alar cartilage flaps improves dorsal and tip stability while preserving external nasal integrity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This approach offers a fast, effective, and modular solution for primary rhinoplasty, y","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144615835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sub-nipple Incision for Gland Resection in Gynecomastia, Combined with High-Definition Liposculpture Principles: Technical Refinements and a Step-by-Step Video Guide.","authors":"Tamara A Garsten, Toon Sels, Steven D M Colpaert, Marc van Cleemput","doi":"10.1007/s00266-025-05076-4","DOIUrl":"https://doi.org/10.1007/s00266-025-05076-4","url":null,"abstract":"<p><p>Gynecomastia correction often requires removal of both a glandular and fat component. Aggressive tissue removal bears the risk of causing irregularities, areolar scars, or a flat chest. Insufficient removal, on the other hand, causes recurrence. We present a new minimally invasive technique combining adequate gland removal with minimal scarring and improved contour. Our technique is based on the observation that we can make the retroareolar fibroglandular tissue extremely moldable if we first remove all the fat from between the periareolar fibrous strands. This fat removal requires a 3-mm or smaller power-assisted liposuction canula. Next, glandular resection is possible through a 7-mm incision at the base of the nipple. Combined with principles from high-definition liposculpture, superior esthetic results can be obtained.Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Clinical Associations and Outcomes Between Superomedial and Inferior Pedicle Breast Reduction Surgery: A Retrospective Study.","authors":"Thomas Ren, Andre Galenchik-Chan, Katherine Wang, Duc T Bui","doi":"10.1007/s00266-025-05041-1","DOIUrl":"https://doi.org/10.1007/s00266-025-05041-1","url":null,"abstract":"<p><strong>Introduction: </strong>Historically, the inferior pedicle (IFP) procedure has been the dominant technique for the treatment of macromastia; however, the superomedial pedicle (SMP) approach allows for decreased operative times, reduced incision tension, and improved and longer lasting superior pole fullness. The goal of this study is to investigate and compare the clinical outcomes and complications associated with the inferior pedicle and superomedial pedicle approaches to reduction mammoplasty.</p><p><strong>Materials and methods: </strong>This retrospective study was conducted through a single surgeon's experience with a total of 444 patients from 2005-2024. Patients were divided into two cohorts based on their breast reduction pedicle type. Chi-square tests and linear regression analysis were utilized to compare patient characteristics and surgical outcomes of the two pedicle types.</p><p><strong>Results: </strong>Of the total 444 reduction mammoplasty patients, 114 (25.7%) underwent the IFP technique and 330 (74.3%) underwent the SMP reduction. Patients in the IFP cohort had a significantly higher total complication rate of 57.0%, while the SMP cohort had a total complication rate of 46.1%. The prevalence of cellulitis was the only statistically significant difference between the two groups. 21.9% of IFP patients developed cellulitis post-operatively compared to 7.0% of SMP patients.</p><p><strong>Conclusion: </strong>This study supports the notion that superior pedicle reduction mammoplasty is as safe and may result in fewer complications than the current inferior pedicle standard. The overall complication rate, and specifically prevalence of cellulitis within the IFP technique may be attributed to four main factors: operative time, weight of breast resected, BMI, and drain status. Given the lack of similar findings in the literature, we believe our results may reflect differences in preoperative patient characteristics and postoperative management. Both techniques appear to have comparable complication rates and should remain essential skills for surgeons.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of Trapdoor Deformity After Facial Skin Flap Reconstruction.","authors":"Gianmarco Polverino, Francesca Russo, Francesca Mosella, Francesco Mazzarone, Francesco D'Andrea","doi":"10.1007/s00266-025-05008-2","DOIUrl":"https://doi.org/10.1007/s00266-025-05008-2","url":null,"abstract":"<p><strong>Background: </strong>The trapdoor deformity is a common postoperative complication characterized by bulging tissue within a depressed, semicircular scar, often seen after reconstructive procedures with curved flaps. It results from complex physiomechanical forces, including scar contraction vectors, tissue bunching, lymphatic or venous obstruction, and excess subcutaneous fat. Despite various theories, its exact pathophysiology remains unclear. Traditional treatments like Z-plasties and peripheral undermining aim to redirect contraction forces, though recurrence is frequent. Emerging research explores lymphatic dysfunction as a contributing factor. This study systematically reviews all flap types associated with trapdoor deformity and evaluates both current and emerging management strategies.</p><p><strong>Materials and methods: </strong>A systematic literature review on trapdoor deformity was conducted following PRISMA guidelines, using PubMed, Scopus, and Web of Science. Inclusion criteria covered original clinical studies on trapdoor deformity treatment and prevention in facial flaps, while reviews, unclear reports, and animal studies were excluded. Two investigators independently extracted data, with a third reviewer resolving discrepancies. Both English and select non-English articles were analyzed.</p><p><strong>Results: </strong>Out of 1864 screened citations, 867 duplicates and 898 irrelevant articles were excluded, leaving 99 for full-text review. Fifty met inclusion criteria, reporting 521 trapdoor deformity cases from 1982 to 2024. The bilobed and nasolabial flaps were most associated with TD, especially in nasal reconstruction. Only 12 of the included studies focused on treatment as the primary endpoint.</p><p><strong>Conclusion: </strong>Triamcinolone injections are an effective first-line treatment. Laser therapy shows potential and warrants further research, whereas super shaving lacks robust data on long-term outcomes and complication.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Abdominoplasty with Diastasis Recti Correction on Female Sexual Function: A 1-Year Prospective Follow-Up Study.","authors":"Vito Toto, Angelo Faiola, Matteo Pazzaglia, Martina Ponzo, Francesco de Donato, Iside Vignapiano, Giovanni Francesco Marangi, Marco Gratteri, Fara Desiree Romano, Paolo Persichetti","doi":"10.1007/s00266-025-05002-8","DOIUrl":"https://doi.org/10.1007/s00266-025-05002-8","url":null,"abstract":"<p><strong>Background: </strong>Diastasis recti abdominis (DRA) is a condition commonly affecting women postpartum, often leading to functional impairments, negative body image, and reduced quality of life. While abdominoplasty with DRA correction is known to improve core stability and aesthetic outcomes, its potential impact on female sexual function remains underexplored.</p><p><strong>Objective: </strong>This prospective study investigates the effects of conventional abdominoplasty with DRA correction on female sexual function using the validated Female Sexual Function Index (FSFI) over a 1-year follow-up period.</p><p><strong>Methods: </strong>A total of 37 female patients with postpartum DRA (inter-rectus distance >4 cm) who underwent conventional abdominoplasty were included. Sexual function was assessed preoperatively and 12 months postoperatively using the FSFI, encompassing six domains: desire, arousal, lubrication, orgasm, satisfaction, and pain. Patient satisfaction with the procedure was evaluated using a 5-point Likert scale. Statistical analysis was performed to identify significant changes in FSFI scores and their correlation with patient satisfaction.</p><p><strong>Results: </strong>Postoperative FSFI scores demonstrated a significant improvement in total score (mean increase: 7.1; p < 0.005) and in the domains of arousal, orgasm, and satisfaction. Improvements in desire, lubrication, and pain were observed but not statistically significant. Higher patient satisfaction correlated with greater FSFI score improvement, although this was not statistically conclusive due to the small sample size. Notably, menopausal patients exhibited significant enhancements in overall FSFI scores (mean increase: 7.0; p < 0.005). One dissatisfied patient reported a decline in FSFI, highlighting individual variability.</p><p><strong>Conclusions: </strong>Conventional abdominoplasty with DRA correction significantly improves sexual function in women, particularly in domains of arousal, orgasm, and satisfaction, while enhancing overall quality of life. These findings emphasize the importance of addressing functional and psychological aspects in surgical outcomes. Further research, including larger controlled studies and longer follow-up, is necessary to confirm these results and explore predictive factors for optimal outcomes.</p><p><strong>Level of evidence iii: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Perioral Aesthetic and Therapeutic Strategies of Chinese Population in China.","authors":"Siqiao Wu, Nanze Yu, Xiaojing Liu, Jia Zhou, Haibin Wang, Cuiyun Chen, Yuyan Yang, Yiming Zhang, Fuchun Xu, Liuli Dai, Zhengzheng Jiang, Bailin Pan","doi":"10.1007/s00266-025-05040-2","DOIUrl":"https://doi.org/10.1007/s00266-025-05040-2","url":null,"abstract":"<p><strong>Background: </strong>With the increase in demand for lip aesthetics and antiaging solutions, coupled with advancements in medical aesthetic technology and changing beauty trends, there has been a growing focus on refining specific facial features. However, significant differences exist in the aesthetic perceptions of lips between Chinese and Western populations, and limited research has been conducted on the aesthetic preferences and personalized lip design for Eastern individuals. Therefore, understanding public preferences is essential for developing tailored treatment approaches.</p><p><strong>Objective: </strong>This study aimed to investigate the characteristics of perioral concerns among Chinese population, summarize lip shapes and facial contours that correspond with Chinese aesthetic ideals, and propose methods for designing various lip shapes.</p><p><strong>Methods: </strong>An online survey was conducted, distributing 1000 questionnaires to collect data on respondents' basic information, preferences for facial contours and lip shapes, and the most desired improvements in perioral issues. Statistical analysis was performed to identify the lip shapes and facial contours most aligned with Chinese aesthetics. Twelve senior plastic surgeons were invited to define aesthetic design and intervention principles for different facial contours.</p><p><strong>Results: </strong>The study identified five lip shapes and three facial contours that were considered aesthetically pleasing among Chinese population. For each of the five most popular lip shapes, five aesthetic intervention strategies were developed.</p><p><strong>Conclusion: </strong>The findings of this study provide insights into the aesthetic trends of lips and perioral areas among Chinese individuals, offering a reference for developing treatment plans focused on enhancing and rejuvenating these areas.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.","authors":"Mert Demirel, Mert Ersan","doi":"10.1007/s00266-025-05062-w","DOIUrl":"https://doi.org/10.1007/s00266-025-05062-w","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in implant technology and surgical techniques, achieving long-term implant stability in breast augmentation remains challenging, particularly in cases where enhanced soft tissue support is required.</p><p><strong>Objective: </strong>The chestnut technique was developed to enhance implant stability and address soft tissue support-related complications by incorporating a structurally supportive soft tissue framework. This study aims to describe the surgical steps of the chestnut technique and evaluate patient-reported outcomes following its application.</p><p><strong>Method: </strong>This retrospective study included 60 female patients who underwent primary breast augmentation between April 2020 and November 2024. Implants were placed in a customized subpectoral pocket, ensuring superior and inferior muscle and fascia coverage with pectoral fascia support at the midsection. Patient satisfaction was assessed using the BREAST-Q module preoperatively and at 1 year postoperatively.</p><p><strong>Results: </strong>The mean follow-up period was 31.8 months (range: 12-56 months). No cases of implant malposition, rippling, or animation deformity were observed. Minor complications occurred in 5% of patients and were successfully managed with conservative treatment. The mean BREAST-Q satisfaction score significantly increased from 23.44 ± 10.20 preoperatively to 84.46 ± 9.90 at 1 year, with similar improvements in psychosocial and sexual well-being (p < 0.001).</p><p><strong>Conclusion: </strong>The chestnut technique provides a safe and effective approach to primary breast augmentation, particularly in cases where enhanced soft tissue support is desired. By optimizing implant stability and minimizing displacement-related complications, it serves as a reliable alternative to conventional methods while ensuring predictable and aesthetically favorable outcomes.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/0026 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Engagement in Plastic Surgery Content on YouTube: A Comprehensive Analysis.","authors":"Pearl Shah, Brennan Bogdanovich, Parth Patel, Carter Boyd","doi":"10.1007/s00266-025-04851-7","DOIUrl":"https://doi.org/10.1007/s00266-025-04851-7","url":null,"abstract":"<p><strong>Background: </strong>As the digital age progresses, individuals are increasingly seeking online websites for the dissemination of information. YouTube, the most popular free video streaming platform worldwide, garners over 2 billion users. Plastic surgery information is widely available on YouTube and acts as a common interface for the distribution of plastic surgery-related information. This investigation aimed to identify trends in YouTube videos describing common plastic surgery search terms based on narrator gender, channel type, and language patterns.</p><p><strong>Methods: </strong>Top-ranking videos for six common plastic surgery search terms were queried. Video characteristics and transcripts for each video were extracted. Transcripts were subsequently analyzed using the Linguistic Inquiry and Word Count software. Comparisons were performed using various statistical analysis methods.</p><p><strong>Results: </strong>Significant differences in audience engagement were noted by search topic (p < 0.05). Speakers in plastic surgery videos were predominantly male only (108 [60%]), with notable variation observed across channel type and search topic. Significant differences were found for videos on medical professional channels (p = 0.004) and videos regarding gynecomastia (p < 0.05). Linguistic pattern analysis revealed that female speakers used more authentic (p = 0.01) and emotional (p = 0.012) language than male speakers.</p><p><strong>Conclusion: </strong>With YouTube being the most visited online video platform website worldwide, plastic surgeons must understand trends to appropriately tailor their content and maximize their social media reach. Also, while plastic surgery is making strides in the right direction, continued work should be done in promoting adequate representation among online material.</p><p><strong>No level assigned: </strong>This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144582836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}